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Originals Early Experience with the 19-mm Medtronic Mosaic Porcine Bioprosthesis for Small Aortic Annuli 　　H. Kagawa, et al.……1 Surgical Strategy for Minimally Invasive Coronary Reconstruction in Chronic Hemodialysis Patients 　　Y. Miyake, et al.……6 Surgical Management of Perivalvular Leakage after Mitral Valve Replacement 　　Y. Sakamoto, et al.……13 Case Reports Rupture of the Aortic Arch and Descending Aortic Aneurysm in a 24-Year-Old Man with Systemic Lupus Erythematosus 　　A. Sasaki, et al.……17 A Surgical Case of Infective Endocarditis Presenting with Intracranial Hemorrhage due to Ruptured Cerebral Mycotic Aneurysm 　　T. Yunoki and K. Minakata……21 A Successful Surgical Repair for Nonpenetrating Cardiac Trauma with Concomitant Rupture of the Pericardium 　　T. Suezawa, et al.……25 Severe Circulatory Shock Induced with Protamine Sulfate during Cardiac Surgery in a Diabetic Patient Who Had Exposure to Neutral Protamine Hagedorn Insulin 　　K. Yamamoto, et al.……29 A Successfully Operated Case of a Pseudoaneurysm-Rectal Fistula after Surgical Repair of a Ruptured Abdominal Aortic Aneurysm 　　K. Matsuki and H. Fujiwara……32 Syncope on Exertion due to Congenital Hypoplasia of the Left Main Coronary Artery 　　K. Kumagai, et al.……36 A Case of Left Atrial Myxoma Mimicking Mitral Valve Stenosis Which Required the Mitral Valvoplasty after Tumorectomy 　　K. Katayama, et al.……40 Infected Thoracic Pseudoaneurysm Associated with Congenital Bronchoesophageal Fistula 　　H. Tsubota, et al.……44 A Case of Inflammatory Abdominal Aortic Aneurysm Associated with IgG4 　　Y. Noda, et al.……48 Successful Surgical Treatment of Pentacuspid Aortic Valve with Severe Aortic Regurgitation 　　S. Kamata, et al.……53 Two Cases of False Aneurysm Rupture Induced by Nonvascular Tumor 　　H. Nakamura, et al.……56 A Case of Intravenous Leiomyomatosis with Intracardiac Progression 　　Y. Hirayama, et al.……60 A Rescue Case of Coronary Artery Rupture after Video-Assisted Thoracic Surgery 　　A. Sasaki, et al.……65